Elliptical transection for eversion endarterectomy enables efficient external carotid artery desobliteration.

Background: Eversion endarterectomy (EEA) of the internal carotid artery requires less distal surgical exposure than conventional patch reconstruction endarterectomy. However, the technical success after EEA was tremendously contradictive especially with respect to the external carotid artery (ECA) patency rate. The purpose of this study was to determine the effect of elliptical EEA on the quality and outcome of external carotid artery desobliteration.